Latest / The Dr. Randi Show / Behind the Scalpel: Fame, Facelifts & the Future of Aesthetics — Dr. Paul Nassif, Botched/Nassif MD Skincare

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Behind the Scalpel: Fame, Facelifts & the Future of Aesthetics — Dr. Paul Nassif, Botched/Nassif MD Skincare · The Dr. Randi Show

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The views expressed in this podcast are for informational
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purposes only and do not constitute medical advice.
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Beauty. Now let's get into the episode.
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Hello everyone, and welcome to the Doctor Randy show where we
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explore the intersection of beauty, business and science.
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Today we have a very special guest.
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You know him from Botched where he turned surgical disasters
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into second chances. He's one of the most in demand
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facelift surgeons in the world and his skin care line, it
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started in the OR and now ended up in everyone's bathroom.
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Welcome, Doctor Paul Nassif. Doctor Randy, it's great to be
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here with you and thank you for that.
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You know, beautiful introduction.
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Absolutely. Well, we're very excited to have
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you on the show today and I want to jump right in and talk about
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your transition and what you have achieved in the industry.
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So you built your name on rhinoplasty, but then made the
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shift to becoming the king of facelift.
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So would you mind telling us a little bit about that?
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Absolutely. First of all, you know, as a
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facial plastic surgeon, I've always, you know, love doing
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facelifts and eye lifts and peri what we call periorbital around
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the eye and facial rejuvenation. However, interesting what
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started happening since I ended up becoming especially because
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of botched, you know, taking rhinoplasty to the next level,
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which not many people do hard revision rhinoplasties.
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The patients started coming in years ago, you know, years later
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after maybe they were 40 and they had their rhinoplasty and
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they say, you know what, Doctor NASAF, now it's time for this.
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And so basically it was said, OK, let me get really back into
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this and get in that next step from their aesthetic journey.
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I want to participate that. And interesting facelift is
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there's so many different techniques and it's not like
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one-size-fits-all and it's very challenging and it's very
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creative. And So what I did, just like I
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did with facelift, I went on that journey to find out really
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what is the best and what is the best techniques, what are the
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best ways to help you heal? And you still need the same
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precision, the same perfection, just like I've always valued
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and, and basically even now I'm still learning.
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I just went to AI was one of the lab instructors, went to a huge,
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shall we say cadaver course with some of also the world's best
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faced surgeons, St. Louis months ago and you're
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still learning. And even at my age of 63, the
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goal is what can I do to get to that next level again?
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And and so it's something that when it comes to doing a very
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difficult facelift again, because I'm used to doing
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revision facelifts, I've learned the hardest, the most difficult
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dissections and it's extremely challenging.
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And you know, it's nice when you actually restore someone's
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confidence through a very natural face aging, face
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rejuvenation. And so it's something I enjoy
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doing and it's something again, that you are always going to
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keep learning, just like you do with rhinoplastics.
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Absolutely. So what makes the NASA facelift
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different from anyone else's? What we're trying to do is we're
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approaching surgery, skin care and basically the aesthetics all
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together. And I feel that it's just not
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surgical. I think it's a comprehensive
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approach. So I think to get those long
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lasting natural results and I think you have to really combine
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the three, such as surgery creates your foundation,
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lifting, tightening, restoring, you know, facial structure at a
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deep level. And no matter what, surgery is
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not alone. And then you have skin care that
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preps the skin pre op and supports the healing post op.
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And then you're taking care of fine lines and wrinkles, tone,
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texture, you know, and that's something that surgery does
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temporarily because of swelling. But the scalpel can only go so
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deep, you know. And then you have your non
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surgicals, whether it's a little bit of a neurotoxin, some maybe
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maybe using a little bit of fillers, maybe different non
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invasive radio frequency or ultrasound that's not going too
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deep because it goes too deep. You could actually create scar
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in the deeper tissue. All these going to give you a
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balanced, beautiful, healthy outcome.
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And so, you know, it's really a combination of science,
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artistry, and you really have to have that aesthetic eye because
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you can be a great technician, but if you don't have that
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artistic eye, especially to make it look natural, you're not
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going to have a great result. Well, that's interesting.
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And and that brings me to my next question of when we're
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talking about results, I how do you know, how do you handle when
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somebody thinks they need surgery, but you don't actually
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think they need surgery? So if you watch Botched, you'll
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see how it's a constant of a lot of rejection.
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Patients come in wanting something that's not realistic
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and they could actually hurt them.
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It's something that I've done way before botched.
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So patients will come. My office, I'm going to say
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probably one out of five are not candidates for what they want or
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the actual surgery. And you have to basically you
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can't just say let me out brown on everything because that's
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you're not doing the right thing.
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And so I'm pretty darn good at that.
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I'm pretty darn good at pivoting and say, well, maybe not this,
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but what about this or no, if you do this, it's going to cause
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this kind of problem. And I've gotten pretty darn good
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at that over the last 15 years. So I have no problem.
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And bluntly, because I'm being, I'm known for kind of being
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blunt, sometimes saying no, that's enough.
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Good for you. I mean, there are some surgeons
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that won't say no, right? And we see those pictures and we
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we see what that looks like. So good for you that you do
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close the door. And yes, I've seen the shows
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where you do. So you know, I know now that you
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are working globally with, you know, patients from all over the
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world. And what are the questions that
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I was thinking about, and I think the audience is too, is
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how did the beauty expectations and surgical expectations differ
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between patients in LA, New York City, Dubai, wherever, wherever
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you know the patients are coming from, How does that differ for
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you? Well, it, you know, it's
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interesting. It used to be, for example, LA
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and New York were very different.
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New York wanted a very a certain look, which was actually
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surgical. No, but they wanted to have,
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well, so and so did my nose, my rhinoplasty, my facelift.
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And you can tell, well, that person had a facelift.
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It was stylized, but obviously it was surgical.
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And over the last probably seven years or so, we've been kind of
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coming closer together, which is unusual.
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Usually you have East Coast, West Coast, very different.
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But now since I have a lot of East Coast patients and I'll,
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I'll bring in the Middle East in just a minute, now we're
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actually seeing a cultural similarity between the two
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coasts where I want to look good, I want to look refreshed.
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I don't want to have the gigantic lips, the gigantic
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cheeks. I just want to look fantastic.
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And the interesting is especially a lot of the Middle
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Eastern patients I see, they wanted to have the very, you
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know, the ski slope, the pinched nose or eyebrows, a little bit
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too high, things like that. And now they're getting into
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doctor, I want to breathe better.
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A lot of them are revisions. I want to look better.
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And now it's interesting, the Middle East really, there wasn't
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a lot of demand for faceless, deep plane necklace and
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faceless. Now we're seeing that.
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We're seeing a good amount of that and again, wanting to look
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natural. So I see my practice no matter
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where they can be, France, UK, South Africa, the Middle East,
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the United States. I'm seeing a refreshing from the
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mature audience. I want something refreshing and
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natural. But again, also different
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countries in Asia or from India, because I open all these
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patients now, there are some certain things you have to do to
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keep their cultural differences with specific surgery.
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You have to know that, understand it and keep it.
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You can't change it for that patient because they are going
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to get upset. That's a lot to keep track of,
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right? I mean all the different
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cultures, all the different expectations, but you seem to
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balance it very well. You have to listen.
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I've been doing this for 2526 years and it becomes somewhat
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second nature. However, this is really
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important. This is probably the most
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important thing I'm going to say in this whole show.
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No matter how long you've been doing something in your career,
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but it's me operating someone doing something else.
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You always, no matter your age, you can't always do the same
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thing and stick with the same surgical procedure or you need
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to always advance, to always be reading, to always learn no
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matter what it is, have to keep up on it.
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And that's one thing that, you know, especially with cultural
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nuances and surgical procedures, same thing.
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I couldn't agree more. I think that we're always, we
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always have to keep learning. Once we don't, once we're we
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stop the learning, we stop that process, we stop growing, right?
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And then we're we become, you know, phased out.
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So I couldn't agree more. I'd love to talk about your skin
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care line a little bit. I see it behind you there looks
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like a beautiful range of of products.
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So I was reading all about it, studying, you know, this week
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in, in, you know, anticipation of meeting you.
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And I understand that the skin care line and correct me if I'm
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wrong, was born from your OR and I'd love to hear more about
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that. I'm sure the listeners would as
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well. Absolutely.
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You know, the biggest thing is what we are trying to do is prep
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the skin before procedures or before lasers and support the
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healing afterwards. And basically, you know,
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hydrated, resilient skin is more pliable.
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It's easier to operate on and recovers more smoothly than
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dehydrated skin. Basically the thing about this,
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taking a scalpel and trying to lift out the skin of a razor as
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compared to, you know, a beautiful luscious green grape,
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you could actually almost carve it or peel it off.
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And so that you can take that almost to surgery in addition.
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So make surgery possibly a little easier, but it's
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hydrated. And then when you do surgery,
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let's say you're doing a beautiful deep plane face and
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the neck has a lot of wrinkles and the deco taste damage and
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the tone is off, the texture of fine lines and wrinkles,
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discoloration. And maybe you can't do an
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intense laser in that area. You want to start them on skin
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care because it makes your results look better when the
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skin looks better period. And so the patient started
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loving the procedures and been loving the products.
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So I said, you know what, it's time to bring them out to expand
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it, to improve the skin, you know, maintain long term
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regenerate, you know, rejuvenation from my patients
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and for beyond. It sounds like the skin care
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lion is on fire and, and you know, I've seen it everywhere.
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I keep hearing about it. So it sounds like you're doing
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an amazing job with it. And, and I think it's a very
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crowded space. So differentiating it as you
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know, this, this surgical product that you know, is now
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available for us to be using in our bathrooms is amazing.
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I think would you say that is the differentiator for the
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product? Yeah, I mean, you know, the way
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I look at it is, listen, there's all kinds of skin care out
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there. Like in my office I also have my
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skin care, but you have to have a few other ones or in met spas,
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you have all kinds. And the way I look at it is OK
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if I'm going to do this because I have a trusted brand and
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botched blessed me with that. But you know, I had to prove it
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and earn it. So I had to do the same thing
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with skin care. Let me make something with
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clinically formulated all by me, highly efficacious, but since
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I'm on TV shopping a lot affordable and so it's all
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science based ingredients. You know, I'm also, by the way,
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cruelty free, independent third party testing for clinical
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testing and even the before and afters, you know, we have to
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make sure that they are absolutely right on.
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You can't, you know, mess with those like when you do a before
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and afterwards Facebook, even when we try to keep those
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consistent. So that's what I try to do
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different, you know, and also, you know, it's interesting, you
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might find what I love doing is mixing synergistically different
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products and something, let's say I want to take niacinamide
14:08
with a certain type of retinol. You got to spend time making
14:12
sure they work together and how do they benefit each other.
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So what's actually fun? I enjoy the skin care space, you
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know, it's something that's becoming my wheelhouse.
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Sounds like, you know, a little bit of a like a science project,
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right, But you're getting to kind of practice and, and I do
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that in my own bathroom. I so many products and I'm like,
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what if I mix these two today? How you know, what will that do
14:35
to my skin? So I that's great that you know,
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you enjoy doing it. It's almost sounds like it's a
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hobby that's turned into a very successful business.
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So. And I love and I love doing it,
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Yes. I mean, it's, it's actually fun.
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So when I go on TV shopping, which I'm doing in a little bit,
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I actually enjoy it because I'm actually get, I get to teach
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just like I do on Botched. So it's not like I'm just
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saying, hey, buy this, which that's what the host does.
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But my goal is I'm trying to educate of why and how and what.
15:06
Sure. So Speaking of, you know, trends
15:11
and things are hot, I mean, skin care has had, I'd say a bit of a
15:15
resurgence, right? I mean, I think that I've never
15:18
seen so many skin fluencers. That is what we're seeing right
15:23
now. And I think that we have a a
15:24
huge resurgence. And do you think that there is a
15:27
beauty trend right now that you think we will regret in five
15:32
years? Is there something that you
15:33
watch that kind of makes you friends?
15:36
I don't let me say this. Let me spin it a little bit
15:39
differently. What we're seeing now,
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especially with our deep plane facelifts is that a lot of
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facial fillers, especially if it's not FDA improvement, it's
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more than hyaluronic acid, We're seeing facial fillers travel to
15:58
different parts of the face. So this is actually something
16:03
that for the future may change what people do in the future.
16:07
So you inject lower eyelid to fill the tear through.
16:11
We're finding it down by the jawline, which is unusual.
16:17
So we have to be careful with fillers, even if it's hyaluronic
16:20
acid. We're also finding that some of
16:26
the more minimally invasive like the deeper ultrasounds and radio
16:31
frequency and the deep micro needling, you know, with
16:33
ultrasound we're seeing that it's actually creating scar
16:36
pretty deep and the scar pretty deep makes the deep plane face
16:42
look for example harder even maybe a little risky.
16:47
So I have a feeling over the next 5-6 years we may, and, and
16:55
again I may be wrong, start seeing a decrease in some of
16:59
these more invasive procedures and more of an increase and more
17:06
superficial ultra standard radio frequency.
17:11
Maybe fillers might be a little bit less and maybe we might be
17:14
doing more, more natural like PRF or, or you know, again, I'm
17:19
doing a lot every time I do a face lift, I'm doing fat
17:22
sculpting, fat grafting gently with somebody called nano fat,
17:25
which are multi important stromal cells.
17:27
We're injecting it into the skin to help with the texture.
17:31
So, so that's what I see as a possible issue in the future.
17:36
Now is there a trend though that you're saying a trend that
17:40
actually has been causing or do I think we're going to have more
17:45
problems in the future? That's a good question.
17:48
And as I think about it, fillers we're getting a little bit more
17:51
conservative. Botox I don't see any problems
17:54
with. I just talked about the more
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invasive ultrasounds and micro needling with radio frequency.
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I think that, again, I'm seeing positive aspects.
18:08
I don't think I'm seeing patients right now.
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They're going to come in again. We're not talking about the
18:12
fringe where patients are getting weird products ejected
18:16
in their face and body or overdoing surgery in Beverly
18:22
Hills and stuff. I think because a lot of the
18:24
doctors, you know, that I know we're doing good work out there.
18:29
So I don't see hopefully right now, like, Oh my God, everyone's
18:32
doing silicone in their lips and in five years we're going to
18:35
have a silicone outburst. I'm not seeing that.
18:38
OK, Well that's by the way. I know I gave you a very long
18:42
answer for this because that was a loaded question.
18:45
Yeah, but that's good to know. And, and I have heard, you know,
18:49
the stories of the filler. I myself, I've had some filler
18:52
relocate itself. You know, sometimes this happens
18:55
and then we have to get it dissolved.
18:57
So, you know, that's always a little bit of a phenomenon of,
19:00
of what's going on there. You know, let me add one more
19:03
thing. You just mentioned something to
19:04
throw up to and I and I don't have the science yet based on
19:08
this, but more anecdotal. Injecting filler reversals
19:12
higher the run of days reverses hyaluronic acid.
19:16
Well here's the question. Your body and your skin, like
19:19
remember I'm delivering hyaluronic acid in your face.
19:22
For example, the best I can deliver with my Hydra screen,
19:25
for example, the microscopes, the water loving the water
19:29
loving molecule which pulls in all the moisture.
19:31
Your body has natural hyaluronic acid.
19:34
So let's say your cheeks. So when you go in dissolving
19:37
filler hyaluronic acid, are you dissolving some of your own
19:43
hyaluronic acid? And that's what I'm worried
19:46
about. The answer I think is possibly
19:49
and probably yes. So be careful.
19:52
Wow, that's a great point. Luckily I've only had to have
19:55
the dissolving once or twice, but things like a bee.
19:59
Right. Well, you look great, by the
20:01
way. I'm looking at your cheeks and
20:02
all that. I mean, you just look because
20:04
you're young. You have those, you know, great
20:06
cheeks. And that's what people want.
20:07
They want gorgeous natural cheeks.
20:09
Thank you. Well, ironically, I'm not that
20:12
young, I'm 54. I've not had any surgery yet,
20:15
but. I have, yeah.
20:17
You don't. You don't look that right now.
20:19
Well. Thank you.
20:21
I happen to have, which my facial plastic surgeon thinks is
20:26
a blessing, but in growing up, I thought it was a curse.
20:29
I have a chubby face, right? I have a thin body and a chubby
20:32
face. And.
20:34
And so he's always saying take your chubby face and run with it
20:38
because you're going to like that as as you get older.
20:41
So yeah. Because you're going to, you're
20:41
going to lose. Remember, we lose fat in the
20:43
face as we get older. So, you know, so you still have
20:46
it. And where are you?
20:48
Where who? Where's your facial plastic?
20:50
I'm in Boca Raton and I see Doctor Steiger.
20:54
Yeah, I don't know Doctor Steiger, but I I do.
20:56
I know some folks out there in Boca Raton, which is I I love
21:01
that. What is it?
21:02
What is that beautiful hotel? Yes.
21:05
Michael Delbon. Yeah, it's the Boca Resort.
21:08
The Boca. Loves that.
21:09
Yes, I'm a member there. It's a beautiful club and it's a
21:14
great place, right? There oh.
21:15
Yeah, I'm a I'm a big fan of of the non surgical.
21:18
I have a lot of filler, but but I like I like it very subtle.
21:23
So for me, I go for I guess what we call the touch up every three
21:28
months versus some people going sure here because I don't want
21:32
to have that overfilled look for a long time.
21:34
So. Absolutely.
21:35
Well, your doctor's doing a great job.
21:37
Thank you, thank you. He was on the show a little
21:40
while ago as well, like a few months ago, so I'm sure he'll
21:43
appreciate that compliment. So on to the younger faces now.
21:48
What are you seeing as the trend with the younger audience?
21:52
Right? So are, you know, is the age
21:55
getting younger for facelifts, younger for, you know, requests
21:59
for, I'm seeing, you know, on social media, these 29 year olds
22:03
getting a ponytail lifter this or that, you know, so at 54, I'm
22:08
like, wow, I I never even considered that at age 29.
22:11
So what are you seeing in the trends for the younger folks?
22:14
Yeah. And by the way, the filters help
22:16
with that, help create that, you know, we call it filter
22:19
dysmorphia. And that is a good point.
22:25
Some patients that are younger are getting facelifts.
22:31
We'll just say it right there, facelifts, whatever kind it is
22:36
younger age. Now, do I have a problem with
22:40
that? I think too, if you do it too
22:42
young, you can get some horrific scarring.
22:47
But am I so too young? Like you said, 29, way too
22:50
young. And I would urge, you know,
22:54
great skin care, early 40s Am I OK with that?
23:00
Absolutely, 404142 getting a little mini lift, yes, I'm OK
23:06
with that. But from what you're saying,
23:09
some of the younger folks are a little bit too young for certain
23:13
procedures. They want to get an upper blef
23:14
done, remove some skin from the upper eyes, maybe a little brow
23:17
lift too little. This, you're right, too young.
23:21
And those are the ones I say, listen, you know you don't need
23:23
it, you look great, just do this.
23:25
You got to do something true. You can't just say no.
23:28
If you go say no, they're going to find someone who's going to
23:31
do it, period. So the goal is what can you do
23:34
with these young patients to make them happy?
23:36
So it delays their surgical, you know, desires and you got to
23:41
work with them on there. Yes.
23:44
And I do think you know you mentioned about the filters and
23:48
social media and these kind of things.
23:50
So, you know, I think this is we had the President of the Facial
23:55
Plastic Surgery Association on and we were talking about the
24:00
effect of social media and these filters.
24:03
And what are your thoughts on that?
24:04
Is it having a huge, you know, impact on surgical, you know,
24:09
requests and you know how is what is that happening in your
24:13
consults right now? Yeah, We did that a lot.
24:16
When we were going out to a lot of interviews on Botched.
24:18
Every time we would air, we were always talking about filters,
24:20
morphia. And I would say about two years
24:22
ago it was huge. Patients were coming in, they're
24:25
bringing in their phones with here.
24:27
I want this and it was completely almost
24:29
unrecognizable. And it was something that was
24:34
like, Oh my God, you, you can't do that.
24:37
So we were seeing that. I still see it some, but I feel
24:41
like it's dying down a little bit.
24:43
Whether it's a nose and eyebrow, they kind of, you know what they
24:46
did face tune and they completely changed themselves,
24:49
especially the younger folks again, or the lips were doing,
24:53
listen, I love doing these lip lips now and corner of the
24:56
mouth, lips, lips. I love that I use something
24:59
called the surgical net, the NASA's net, which a friend of
25:02
mine in Brazil really helped create.
25:03
I love these things, but it's the right person.
25:06
A lot of the young, that's one thing that's happening.
25:08
A lot of the younger folks with the filters are lifting up the
25:11
lip, shortening the distance between the nose, the top of the
25:14
red part of the lip. You know, that's where a lip
25:16
lift does and doing it abnormally.
25:20
And they're going into the doctor.
25:23
I just had actually an 18 year old asked me about doing a lip
25:26
lift. I said absolutely not.
25:29
Wow. But they are getting younger.
25:31
And I think at my age and your age, like we didn't grow up with
25:35
social media, right? Like we didn't have that time
25:40
of, you know, hours per day when we were scrolling on these
25:43
social media channels comparing ourselves to other people and
25:48
having filters that, you know, look abnormal and make you look
25:52
skinnier and slimmer and no wrinkles.
25:54
And I think it was healthier before, right?
25:57
Like I, I didn't compare myself to anybody because there was no
26:00
one to compare myself to except the other girls at school,
26:02
right? So, you know, I think that it's,
26:05
it's very competitive and almost like uncomfortable for the youth
26:10
because they feel like they're constantly competing with
26:13
something that's not even real. Well, now that also is going to
26:18
change in a way, and this brings up, and I'll just mention this
26:22
briefly for a minute, the semi glue ties.
26:25
Yes. Everyone is on somebody.
26:28
I mean all everyone I know who used to be pretty overweight, I
26:33
tell you have lost a lot of weight and and there's good and
26:39
bad about that. And I think from the even the
26:42
young folks are doing that, especially the ones that want to
26:45
stay looking thin. Obviously you can overdo it.
26:50
Obviously you can actually remember it's also just not and
26:53
I just losing fat, you're losing muscle.
26:57
So I will I want to give a hint to people that are going to do
26:59
that. Make sure you do a lot of
27:01
protein and exercising and lifting.
27:03
So you try not to lose muscle mass.
27:05
And then if you do it too fast, you're going to get a lot of
27:07
loose skin and then they're needing more plastic surgery.
27:10
So we're seeing, you know, the Ozempic face and all that you've
27:13
heard about that the Ozempic body and all that.
27:15
So that is true. That is the thing.
27:18
And however, from the positive standpoint, from the
27:23
cardiovascular, heart disease, high blood pressure, high blood
27:28
sugar, all these things on your joints, you know, maybe, you
27:33
know, being overweight, anti aging, I feel that it, it's
27:37
going to be there and it might make a lot of people healthier
27:43
by taking away some of that extra weight, you know,
27:47
especially if you're obese. So that's interesting.
27:51
That's actually, we're just beginning.
27:52
We're at the, we're at the beginning stages of, of that.
27:55
And what, you know, they're gonna probably make pills later
27:57
on. I think they've been working on
27:59
Ford too. So it'll be interesting to see
28:03
how this goes. I I agree with you and I think
28:06
the GLPS have changed the world and it and it's just getting
28:09
started. I saw some stats the other day
28:13
that by the end of this year, close to 20% of the US
28:18
population will be on some type of weight loss medication, which
28:22
I think is altogether possible. And I also saw another
28:26
staggering figure that there are 14 new ones in clinical like, I
28:31
mean, in trials right now, like, you know, waiting for approval.
28:34
So I think we're going to see like we're, we've only just
28:37
scratched the surface of, of what's going to happen, right
28:40
and what's going to come. Oh yeah.
28:42
I mean, listen for example, me, I have what you know, call a
28:45
little high hemoglobin A1C, you know, pre diabetes and I'm
28:50
taking a little metformin and a little some other medicine, but
28:53
I would like to get that down because that also causes heart
28:56
disease. So I would love to get on a
28:58
little something to help. Remember that's where these
29:00
originally started. It's the whole, you know, to get
29:04
that glucose down. Problem is, you know, I, if I
29:07
take anything like that, I'd kind of get sick.
29:10
So I'm a little wimpy that way. Guys are wimps when it comes to
29:12
things like that. But I'll tell you, I think
29:15
there's going to be, you know, I think that's going to continue
29:17
and it's going to get better and better as we learn more and more
29:22
about it. And that's not going away.
29:26
Yeah, I don't. I think it's here to stay.
29:27
I remember, you know, speaking about it when when the GOP ones
29:32
first came on the market. And then I was asked to talk
29:34
about a lot and people were like, oh, don't you think it's
29:36
just something's going to happen, it'll go away.
29:38
And I was like, I don't think it's going to go away.
29:40
People have wanted a solution to be thin for a long time and make
29:44
it easier. And what's funny?
29:46
Interesting what you said. Not funny, but but you're saying
29:49
like it makes you a little sick, a little nauseous.
29:52
I think a lot of people are walking around a little nauseous
29:54
just to be skinny. You know, I have a lot of
29:56
friends, family, you know, they're on this medications and
30:00
you ask them how they feel and they're like, I feel pretty
30:02
nauseous, but I'm skinny. Yeah.
30:04
They they can handle it. I can't handle that right.
30:07
I, I'm, I cannot do that. But I will tell you you're
30:10
right. I mean, it's, it is something
30:12
like you said, that's it. It's going to be here.
30:16
And you know, listen, ABS are made in the kitchen and you're
30:20
cutting the calories down. But again, you got to do it the
30:23
right way. That's the biggest thing.
30:25
Yes, and I think that as they develop more of them and the new
30:29
ones come, I think they'll be less side effects, you know, I
30:31
think that they'll just keep, you know, changing things.
30:34
So, you know, switching gears for just a minute, there's a lot
30:38
of doctors that watch this show, a lot of people who you inspire
30:43
in the industry that have watched Botched for many years,
30:47
you know, and I think that, you know, they, they want to know
30:51
more about you. What would you say was like a
30:53
turning point in your career that made you kind of change
30:57
gears? What was like the the pinnacle
31:00
moment for you, for your career that really shifted you in
31:03
another direction? Oh good question.
31:08
I don't know about another direction, but propelled me the
31:11
progression of doing botched what it did for me as a surgeon.
31:18
Forget about some notoriety and all that stuff.
31:20
Helping with my skin care. What it did for me as a surgeon
31:25
because overall I haven't really changed in 25 years of who I am
31:31
and what I do. I've always done hard surgery,
31:35
so there wasn't a pinnacle that was like a big change in my
31:38
practice at all for me. However, one thing that I was
31:43
blessed and not many doctors get this opportunity with Botched, I
31:50
was able to take my surgical expertise, so let's say revision
31:54
surgery of the face and nose and I've always been pretty darn
31:58
good at it. I am going to say that I was
32:00
actually always good because that was something I always
32:02
wanted to strive to, but it took me from here and because of the
32:08
volume and the problems and the comp, you know, things I've seen
32:12
and it put me here and to take your skill set, no matter what
32:19
you do, you ask any doctor, listen, if you were already a
32:23
good doctor, a good surgeon on this, but you would have the
32:26
opportunity to actually through experience to become here in a
32:30
short period of time because of the change the volume in the
32:33
cases. Would you love to do that?
32:36
Every good surgeon is going to say, I would love to do that so
32:41
that it's not a pinnacle or change, but it's a change in my
32:47
surgical skills that Botched has allowed me to do.
32:52
And I'm very lucky to do that. And you know, I'm fortunate.
32:56
Listen and I appreciate it. Sure.
32:59
Well, I think you changed the world of plastic surgery.
33:03
I remember watching the show from the beginning and thinking
33:06
how you really raised the bar it it allowed patients to ask more
33:10
questions and, you know, you educated the world on how to
33:14
make sure, you know, you're getting the procedure that you
33:16
want. And you also, you know, let
33:18
people know that a, a botched surgery isn't the end of the
33:21
world, right? Like there, there can be help,
33:23
there can be. So I always thought that it was
33:25
a very compassionate thing that that you were doing and you know
33:29
was it was very nice to watch so.
33:32
Well, you know a point like that.
33:33
So one that was for me personally, for what it did for
33:36
me as a person, surgically, as a as a surgeon.
33:41
But as you just mentioned, I'll say, listen, how lucky am I that
33:46
I've been able to go out there and tell people and again,
33:50
sometimes bluntly, because you got to do it.
33:53
You know, I'm a tough love kind of guy.
33:57
Don't do that. Just stop.
34:00
Don't do it. And it has helped people because
34:05
we've been able to educate of why you want to do it this way
34:08
and not this way. And we've been able to do it in
34:13
somewhat of an entertaining way, but it is educated a lot of
34:17
people and a lot of people now understand it.
34:19
And then when they go to their doctors, they're kind of dialed
34:22
in already. These are the ones that want to
34:25
learn and prevent complications. So again, we've been blessed
34:29
also to try to, to educate folks on a in a humorous way, but also
34:35
at the same point we've been able to do it, you know, with
34:39
life transforming beautiful human interest stories with, you
34:43
know, with patients. It is it is great to watch.
34:46
It's a blessing all around. Yeah, that's awesome.
34:49
That's great. So what excites you about the
34:54
future of aesthetics and what are you going to be personally
34:58
working on for, you know, your next level of your career?
35:01
Something tells me you're you're not ready to slow down at all.
35:04
So professionally, creatively, you know, what will you be
35:07
working on for the future of? Aesthetics, you know, I think
35:12
one of the biggest things from the surgical standpoint, I'm
35:14
going to be continue working on there's ways to do that
35:19
beautiful deep plane lift, but see if there's more.
35:22
Again, we're working on what we call them preservation
35:24
techniques to see what can we do to do something where you're
35:30
going to heal faster and maybe less invasive, but to do a
35:33
beautiful lift, I think that's going to keep going.
35:35
That's 1/2. Are there going to be different
35:39
types of injectables natural from your blood or from your
35:42
cells of your stomach that are going to help rejuvenate,
35:45
regenerate the skin, regenerative medicine using your
35:48
own products. And three, get to that next
35:52
level of skin care, basically the next level of of products,
35:57
clinical grade ingredients that really make a huge difference
36:02
and you keep going. Everything has to keep
36:04
improving. Yeah, So what's next for NASA
36:08
FMD skin care? Any new products coming?
36:11
By always new products, I mean you know, Alice, my CEO and I,
36:14
we always have things working. You know, we usually develop the
36:17
most three things a year. And the new one I just launched,
36:20
which I love is niacinamide with bio peptides.
36:23
But 120 peptides. It's just really is
36:28
transformation regardless to texture and tone and fine lines
36:31
and wrinkles. You can use it with any others
36:33
can kill on that. We just, you know, dropped and I
36:36
love that product. Wow.
36:38
Well, you really have created, you know so much and and you
36:42
know you're, you're an icon in the industry.
36:46
If somebody asked you what would you want your legacy to be, what
36:48
would that be? The legacy is, yeah, I remember
36:53
Doctor Nassif. He was someone who was extremely
36:55
well trusted and honest, thoughtful and was just
37:00
basically, you know, a good overall Doctor Who took care of
37:06
his patients. I mean, listen, that is
37:09
something, you know, this is again from the public, very
37:14
innovative. And you know, I, I just want to
37:16
actually I'm, I'm just like any other normal guy basically.
37:21
But I haven't changed being on TV.
37:23
My personality has always been the same and from this
37:29
professional standpoint, very simple.
37:32
But more importantly, since I have 5 kids, I want to be known
37:37
as someone as a good father and a good husband.
37:41
I love that. That's great.
37:43
Well, that's a great way to wrap things up.
37:45
Doctor Nassif, is there anything else that you'd like to leave us
37:47
with today? I think we did beautiful.
37:50
I got to get ready now to go sell skin care.
37:52
OK great. Well if I can keep you for 2
37:55
minutes to do our speed round, I'd love.
37:57
To Oh yeah, speed round. Let's do it.
37:59
All right, if something tells me you're going to be fun with the
38:02
speed round, so I like it. All right, So if you're ready,
38:05
we'll go rapid fire questions, Beverly Hills or Dubai, Dubai
38:12
Botox or filler. Botox.
38:15
Most overrated treatment right now.
38:18
Radio frequency with microneedle.
38:21
Surgery you would never get. BBL.
38:28
What time do you wake up? 04/15 mini days.
38:33
Wow OK skin care step you never skip.
38:38
Hydration. Facelift age sweet spot. 46.
38:45
Favorite skin care ingredient? Other one of Cassie.
38:49
Last TV show you binge watched? The last one I watched the boys
38:55
on Amazon. OK, one celebrity you would love
38:58
to work on. Oh my God, work on.
39:02
Oh geez, work on. Let's see.
39:07
Who the heck needs to go Tom Cruise?
39:11
That's a good one. That's great, but I don't know,
39:13
I just picked him because I mean, he's incredible.
39:15
Which is harder, rhinoplasty or facelift?
39:18
Oh, rhinoplasty. What's worse, overfield lips or
39:21
frozen forehead? Overfield lips.
39:25
Favorite city in the world? New York.
39:29
Patient red flag you will not ignore.
39:32
Body dysmorphia. What's in your own skin care
39:35
routine? Everything you see behind here.
39:38
My detox pads and hydro screen of my niacinamide. 3 main
39:42
products. How long is too long in the OR?
39:46
Oh boy, I operate late. Let's say 10 hours.
39:50
OK, what's your guilty pleasure? Golf.
39:55
Craziest request you've ever gotten?
39:58
Martian years 38 Martian years. That's awesome.
40:05
Do you believe in natural aging? No.
40:11
Are men getting more work done than they admit?
40:13
No, No. What's the facial feature that
40:18
makes or breaks the result? Those, Yeah.
40:23
What do? Fans ask when they stop you in
40:25
public. What do I need to have done?
40:29
What is your most used emoji on your phone?
40:33
God, I don't even do that. Thumbs up.
40:36
OK. First thing you do after
40:40
surgery. Check my messages, my text
40:43
messages. One beauty trend you predicted
40:47
before anyone else? Oh boy.
40:50
Or just cheeks. OK, well, that's everything.
40:55
Thank you so much for joining us today, Doctor Nassif.
40:58
It's been a joy having you on the show and I'm sure you'll
41:01
inspire many people. Well, thank you for having me.
41:05
Doctor Randy Boyett holds a PhD and is a recognized leader in
41:09
the aesthetics and medical industry.
41:11
She is not a licensed medical doctor.
41:14
All commentary and product recommendations are based on
41:17
industry expertise and are provided for informational
41:20
purposes only.